Individual
DR. EDGAR L KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 BARRINGTON RD, HOFFMAN ESTATES, IL 60194-1019
(847) 843-2000
Mailing address
PO BOX 1690, WOODSTOCK, IL 60098-1690
(815) 337-1466
(815) 337-1721
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
IL
2085N0700X
Neuroradiology Physician
—
IL
2085N0904X
Nuclear Radiology Physician
—
IL
2085P0229X
Pediatric Radiology Physician
—
IL
2085R0202X
Diagnostic Radiology Physician
—
IL
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05615083
BLUE CROSS PROVIDER ID
IL
Enumeration date
09/14/2006
Last updated
09/11/2025
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